| 超声引导下胸横肌平面-胸神经阻滞和胸椎旁神经阻滞用于乳腺癌改良根治术的效果比较 |
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| 引用本文： | 赵赢,费建平,雷月,邵安民. 超声引导下胸横肌平面-胸神经阻滞和胸椎旁神经阻滞用于乳腺癌改良根治术的效果比较[J]. 现代肿瘤医学, 2021, 0(5): 877-882. DOI: 10.3969/j.issn.1672-4992.2021.05.035 |
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| 作者姓名： | 赵赢 费建平 雷月 邵安民 |
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| 作者单位： | 昆山市中医医院麻醉科,江苏 昆山 215300 |
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| 基金项目： | 昆山市社会发展科技专项项目(编号:ks18037)。 |
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| 摘 要： | 目的:比较超声引导下胸横肌平面-胸神经阻滞(TTP-PECS)和胸椎旁神经阻滞(TPVB)用于乳腺癌改良根治术的效果.方法:将80例择期行单侧乳腺癌改良根治术的女性患者,ASAⅠ-Ⅱ级,年龄28～74岁,身高151～172 cm,体重47～72 kg,采用随机数字表法分为2组(n=40):TTP-PECS组(TP组)和...
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| 关 键 词： | 区域神经阻滞 乳腺肿瘤 镇痛 炎性反应 预后 |
Comparison of effect between ultrasound-guided transversus thoracic muscle plane-pectoral nerves block and thoracic paravertebral nerve block in patients underdoing modified radical mastectomy |
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| ZHAO Ying,FEI Jianping,LEI Yue,SHAO Anmin. Comparison of effect between ultrasound-guided transversus thoracic muscle plane-pectoral nerves block and thoracic paravertebral nerve block in patients underdoing modified radical mastectomy[J]. Journal of Modern Oncology, 2021, 0(5): 877-882. DOI: 10.3969/j.issn.1672-4992.2021.05.035 |
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| Authors: | ZHAO Ying FEI Jianping LEI Yue SHAO Anmin |
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| Affiliation: | Department of Anesthesiology,the Traditional Chinese Medicine Hospital of Kunshan,Jiangsu Kunshan 215300,China. |
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| Abstract: | Objective:To compare the effect between ultrasound-guided transversus thoracic muscle plane-pectoral nerves block(TTP-PECS) and thoracic paravertebral nerve block(TPVB) in patients underdoing modified radical mastectomy.Methods:80 patients of female,age 28~74 years old,height 151~172 cm,weighing 47~72 kg,ASA Ⅰ-Ⅱ,scheduled for elective modified radical mastectomy,were randomly divided into two groups(n=40):TTP-PECS group(group TP) and TPVB group(group T).Ultrasound-guided TTP-PECS was performed in group TP and TPVB in group T.Intraoperative,PACU and postoperative 24 h PCIA fentanyl consumption,effective PCIA pressing,rate of postoperative remedial analgesia,as well as analgesia duration were compared.The levels of IL-6,MCP-1 and TNF-α,as well as PGE2,NPY and beta-endorphins were checked at different times. The relative in-dexes of postoperative outcomes were also compared.Results:Compared with group T,the postoperative 24 h PCIAfentanyl consumption,effective PCIA pressing,and rate of postoperative remedial analgesia were decreased,and theanalgesia duration was increased. The levels of IL-6,MCP-1 and TNF-α,as well as PGE2,NPY and beta-endor-phins were reduced at postoperation 12 h. The incidence of hypotension and bradycardia,the scores of 12 h daily sleepinterference scale,and the time of first ambulation were significantly reduced in group TP(P< 0. 05).Conclusion:Compared with TPVB,ultrasound-guided TTP-PECS can provide better postoperative analgesia,better inhibit post-operative inflammatory reaction and promote early outcomes in patients underdoing modified radical mastectomy. |
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| Keywords: | regional nerve block tumor of breast analgesia inflammatory reaction early outcomes |
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